Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps his Department is taking to reduce (a) waste and (b) bureaucracy in the NHS.

The Government is taking action to reduce National Health Service bureaucracy by abolishing NHS England and reducing staff numbers by up to 50% across the Department, NHS England, and the NHS integrated care boards. These reductions will be made by March 2028. These changes will release savings that can be invested in frontline services, with up to 18,000 posts abolished and more than £1 billion a year saved in bureaucracy costs by the end of the Parliament.

In 2025/26, the NHS has ambitious plans to deliver to improve productivity and efficiency by 4%, including a 1% cost reduction. The efficiency savings target set for 2025/26 is £11 billion.

The Government has set a 2% annual productivity growth target for the NHS, unlocking £17 billion in savings over the next three years to reinvest in patient care. NHS productivity grew by 2.7% in 2024/25 and by 2.5% in the first five months of this financial year, putting the NHS on course to meet the target.

To support NHS productivity growth, the Government is investing £2 billion in digital infrastructure for 2025/26 and an additional £300 million announced in the Autumn Budget 2025. This will accelerate electronic patient record rollout, strengthen cyber security, expand the NHS App, and drive automation. The NHS App, for instance, has now saved over 730,000 hours of clinical time, and 3.2 million hours of administrative time across primary and secondary care, and over 860,000 outpatient “Did Not Attends” have been avoided due to patient use of the app, equating to £103 million in appointment costs.